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4(12)
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Form
3040-0
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Age
4
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Weight
9-5
12(10)
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Form
967-03
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Age
4
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Weight
8-13
11(9)
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Form
2655-5
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Age
4
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Weight
9-1
10(2)
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Form
8400-6
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Age
4
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Weight
9-3
1(6)
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Form
0360-0
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Age
4
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Weight
9-6
3(1)
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Form
864-00
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Age
4
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Weight
9-6
9(11)
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Form
2314-3
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Age
4
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Weight
9-3
17(5)
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Form
0554-3
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Age
4
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Weight
8-9
14(15)
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Form
9770-8
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Age
4
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Weight
8-11
13(7)
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Form
800-07
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Age
4
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Weight
8-12
16(4)
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Form
44064-
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Age
4
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Weight
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15(17)
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Form
3910-9
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Age
4
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Weight
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7(3)
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Form
2639-0
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Age
4
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Weight
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8(8)
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Form
4623-2
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Age
4
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Weight
9-4
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Form
310-88
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Age
4
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Weight
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5(16)
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Form
42235-
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Age
4
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Weight
9-5
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Form
3140-1
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Age
4
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Weight
9-6